test

Bill Schroedter wrote:

> Jeff – That doesn’t really do it! The order must come from the
> “treating physician.” Internal protocols do not meet that criterion.
> In order for your medical director to write the order, he/she would
> need to be formally consulted to see the patient in which case they
> also become the treating physician.
>
> Bill Schroedter
>
> Venice, Fl
>
> -----------------------------------------------------------------------
> From:UVM Flownet [mailto:[log in to unmask]] On Behalf Of Jeff
> Stanley
>
> Sent: Wednesday, August 31, 2005 4:37 PM
> To: [log in to unmask]
> Subject: Re: PVR with exercise
> What about if you had an algorithm with your Med Director's signature
> of approval that states something like "perform treadmil testing if
> such and such conditions exist"?   ie A pt arrives with symptoms of
> claudication and you have an order for a "LE Arterial Doppler" and you
> find the resting pressures and waveforms are normal.  But you look at
> your protocols and it states that you should perform treadmil testing
> in this case (assuming no cardiac or other contraindications exist).
> Jeff Stanley BS,RVT
> NashvilleTN
>
>      -----Original Message-----
>
>      From: Pat Marques [mailto:[log in to unmask]]
>      Sent: Wednesday, August 31, 2005 3:22 PM
>      To: [log in to unmask]
>      Subject: Re: PVR with exercise
>      Shelly:  If the order does not state "with exercise" and you
>      perform the PVR with exercise, and then bill for it, namely
>      92924, then this is a billing problem, i.e., fraudulent
>      billing.  You must have a order from a health care provider,
>      MD/PA/NP-C, perform that test, and bill for that test.  On
>      the other hand, if you want to do the exercise testing even
>      without an order for it, you must only bill 93923.  Pat
>      Marques, RN, RVT, FSVU, Vascular Associates
>      Laboratory, Baton Rouge, LA
>
>           -----Original Message-----
>
>           From:UVM Flownet
>           [mailto:[log in to unmask]]On Behalf
>           Of Burns, Shelly
>           Sent: Wednesday, August 31, 2005 3:14 PM
>           To: [log in to unmask]
>           Subject: PVR with exercise
>
>           Hi,
>
>           The compliance people at our hospital have
>           discovered we perform treadmill testing on 90% of
>           our PVR studies although the
>
>           'script' does not always say 'with exercise
>           testing'.  Do you all feel this is a noncompliance
>           issue and that we should get the order to state
>           'with exercise testing'?  Thanks.
>
>           Shelly Burns
>
>           Manager Vascular Services
>
>           Summa Health System
>
>           330-375-3288
>
>           fax 330-375-6384
>
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